| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.54 | $71.81 | $76.42 | |
Cigna
| Facility | $73.91 | $73.91 | $73.91 | |
Cigna
| Professional | $65.88 | $73.91 | $73.91 | |
Providence
| Facility | $65.88 | $73.91 | $82.75 | |
Providence
| Professional | $70.23 | $71.47 | $93.23 | |
United
| Professional | $65.88 | $65.88 | $65.88 |